Key result
Nurse-management program linked to ~37% higher discharge statin use versus historic controls.
Why the study?
Vulnerable patients with coronary artery disease often receive suboptimal guideline-based pharmacotherapy, and strategies to improve care in this population are needed.
Does a nurse-management program improve the use of guideline-based pharmacotherapy at discharge in vulnerable patients hospitalized with coronary artery disease?
Cohort (n=276)
No
Does a nurse-management program improve the use of guideline-based pharmacotherapy at discharge in vulnerable patients hospitalized with coronary artery disease?
Absolute Event Rate: 71% vs 52%
p-value: p=0.001
A nurse-led quality improvement program significantly increased the prescription of guideline-directed medical therapy at discharge for vulnerable patients hospitalized with CAD.
May support nurse-led programs to boost GDMT at CAD discharge; leaves open outcome effects pending randomized confirmation.
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Krantz et al. (2004) conducted a cohort in Coronary artery disease (CAD) (n=276). Nurse-management program vs. Historic controls was evaluated on Receipt of statins at hospital discharge (p=0.001). A nurse-management program significantly increased the receipt of statins (71% vs 52%, p=0.001) and ACE inhibitors (79% vs 51%, p<0.001) at discharge compared with historic controls.
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